Individual
ANDREA GOMES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
50 N MEDICAL DR, SOCIAL WORK DEPARTMENT, SALT LAKE CITY, UT 84132-0001
(801) 587-2317
Mailing address
50 N MEDICAL DR, SOCIAL WORK DEPARTMENT, SALT LAKE CITY, UT 84132-0001
(801) 587-2317
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
9424800-3502
UT
Other
Enumeration date
11/07/2014
Last updated
02/05/2016
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